This is a self-test questionnaire on the Consumer side of this Web site that your patient may bring to your attention. You may also use the online questionnaire, or print it out to make your own document, for your patients when you suspect he/she may have Sleep Apnea.

Sleep Apnea is the repeated partial or complete blockage of the upper airway during sleep. This obstruction repeatedly interrupts the normal sleep process. This may leave you sleep-deprived, as well as susceptible to low oxygen and heart irregularities. Sleep apnea interferes with daytime alertness, and is associated with high blood pressure, strokes, heart attacks and a shortened life span.

Click on the "Submit" button to display your questionnaire results.

Your answers to these questions are strictly confidential. Sleep Solutions, Inc. does not record or save the results of your selections.